SUE A JACOBS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171087

License Status

NOT RENEWED

Business

First Name

SUE

Middle

Last Name

JACOBS

Business Name

SUE A JACOBS

Original Issue Date

09/06/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2008